Andrew R Mouro, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11917 Issued in NC

Practice address

1625 N Main St Ste 201
Fuquay Varina, NC 27526-5399

Phone

(919) 557-7799

NPI assigned

Mar 30, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Cameron & Associates of Fuquay, PLLC

  • General Practice Dentistry
  • Fuquay Varina, NC
  • NPI 1790055044
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1992333587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 HILLTOP VIEW ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275131684",
            "telephone_number": "919-434-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N MAIN ST STE 201",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265399",
            "telephone_number": "919-557-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURO",
        "first_name": "ANDREW",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Joseph Morgan
• Natalie Morreale
• Hayleigh Morton, LMFTA
• Keith Cory Moss, PH.D.
• Katie Mostellar, M.S.OTR/L
• Aggy Moyer
• Tara Mueller
• Obed Kamunga Mulenda, DPT
• Angela Coleman Mumford, PHARMD
• Haley Murdock, MS, CF-SLP

• General Practice Dentistry in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.